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North Dakota rates for HCPCS A6257

Transparent film, sterile, 16 sq in or less, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.57 / $1.57 / $1.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.37 / $1.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.36 / $2.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.52 / $3.52 / $4.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.65 / $3.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.57 / $2.14 / $3.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.91 / $2.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $1.71 / $2.82